A mid-sized healthcare organization engaged Kimly Hong to build incident response capability from the ground up after audit findings flagged the absence of documented procedures and tested workflows as a material compliance gap. The twelve-month program produced a complete IR playbook, a cross-functional escalation matrix, a four-exercise tabletop simulation program, and a governance model designed for independent internal operation. All outstanding audit findings in the IR domain were closed and cyber liability insurer requirements were satisfied. This case study documents the full program design, phased implementation, and lessons learned.